Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to Goersitemail@aol.com.

I do have a question unrelated to that though. I read recently
somewhere that a study was done that concluded in only 0.7/1000
attempted VBACs resulted in rupture (or maybe it was .07%?). Has
anyone else read this too, and if so, where did you find it??? I'm
having a hard time finding it again.

I do have a question unrelated to that though. I read recently
somewhere that a study was done that concluded in only 0.7/1000
attempted VBACs resulted in rupture (or maybe it was .07%?). Has
anyone else read this too, and if so, where did you find it??? I'm
having a hard time finding it again.

I read the abstract that Henci linked to on this. It is
important to note that this study included women in whom labor was
induced--it found that induction raised the risk of uterine rupture
by 73%. I believe the previous research showing a 0.5%
rupture rate was for spontaneous labor...so it is highly
likely that if we were to look at the full study, we might
find the same kind of data in it.

--Jenn

_________________________________________________________

I moved these from the "home birth & birth centers" topic
because it belonged under VBAC. Thank you, Jenn, for pointing out
the induction issue. I debated whether to bring it up and decided
to just stick to the specific question asked. You are right,
though. Most, although not all, studies find an increase in scar
rupture rates with induction with prostaglandins (PGE2,
misoprostol), oxytocin, or both. Augmentation often, although not
always, increases risk as well. Differences probably depend on
selection of candidates and dosage protocols.

-- Henci

All Times America/New_York

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